A new report from vendor research firm KLAS Enterprises examines market share among six electronic health records companies serving the large hospital market.

According to KLAS, Cerner and Epic capture more than 75 percent of large hospital contracts while the others--Allscripts, McKesson, Meditech and Siemens--struggle. With 443 hospitals of more than 200 beds not using a currently marketed EHR, the report looks at factors that will guide their vendor decision processes.

Epic today has a 2-1 lead over Cerner in new contracts, compared with a 5-1 lead in 2010, according to the report. McKesson ranks third, primarily because of users of the sunsetted Horizon product migrating to the vendor’s Paragon system. But very few hospitals are switching to Paragon from a competitor’s system. Allscripts, Meditech and Siemens, according to KLAS, are being squeezed out.

The report, “Clinical Market Share 2013,” is available for purchase at klasresearch.com/reports. The price for providers is $980.

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